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°F?"ET°�` TOWN OF BARNSTABLE
BASB3TA= i
0 YAr. BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ........ .........................................................................................................
TYPE OF CONSTRUCTION
.............................................................
..............................
................................................19.�.
TO THE INSPECTOR OF BUILDINGS:
The undersigned _hereby applies for a permit according -to the following information:
Location ......��'` """".. ...z ......?&�4,� .. �......................................... - .i
:...,..........
ProposedUse .........................................................................................................................
ZoningDistrict ........................................................................Fire District ..........................................
.........,.................
Name of Owner i f !r. + ....1'...!...................Address .........� °� ......................
a: '
Nameof Builder .....................................................................Address ...............................................................:....................
Nameof Architect ......../.........................................................Address ....................................................................................
LO
Number of Rooms .............................................Foundation
...&��............................................
Exterior _1.!.'.< e..............................................Roofing .............................................
Floors ......0 ............................................................Interior ..: ..............
................................................
Heating Aez
:.. :�... ..................................Plumbing ..... ...............
Fireplace .. ...............................................................Approximate Cost ....� / .......................................
Definitive Plan Approved by Pllpnning Board -----------__________________19
Diagram of Lot and Building with Dimensions
SUBJECT TO APPROVAL OF BOARD OF HEALTH WUj
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I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name'/ � .... ��e� ............................
r--
'3maIIv Alan
-
� 15029 _ one story
7 No ................. Permit for .................................... , ^�
~ -
single family dwelling.
--..-.--.~.--.--.--.--._.-,.-.----.,.
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Location�ocof
Centerville
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Alan @="ll
Owner ----..----.-.-.----..-----''.
IN
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Type of Construction .......................................... �
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Plot ............................ Lot ................................
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Permit Granted ......D�«/..g....................... 9 72 }
Date of Inspection ....................................19 � |
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~... Completed .~�. . �
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' PERMIT REFUSED '
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..---.-.--.-.--_.---.------... 19
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